Individual
AUDREY CAROLINE SAMELSON LIVESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2050 BARB ST, SILVERDALE, WA 98315-2050
(360) 315-4365
Mailing address
2050 BARB ST, SILVERDALE, WA 98315-2050
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
28115
NE
Other
Enumeration date
04/13/2013
Last updated
09/30/2024
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